NPI | 1063000149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013618) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038013618) |
Enumeration Date | 2021-01-05 |
Last Update Date | 2025-04-29 |